arcadian health plan claims

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arcadian health plan claims

As a local company, PSW has boots on the ground when working with health care providers and Medicare Advantage plans to support the best services, education and training are provided. To find out more, visit Medicare.gov. You can also submit your claims electronically using HPHC payer ID # 04271 or WebMD payer ID . The provider is (1) A form of health https://healthprovidersdata.com/hipaa/codes/NPI-1598910549-arcadian-health-plan-inc 94607-5204 In certain situations, you can. Summary Star Rating that focuses on a plans medical or prescription drug services. Responsibility, Internet Privacy We are not compensated for Medicare plan enrollments. X - The primary taxonomy switch is Not Answered; Y - The taxonomy is the primary taxonomy (there can be only one per NPI record); N - The taxonomy is not the primary taxonomy. If the organization is a subpart = , the Parent Organization Legal Business Name (LBN) and Parent Organization Taxpayer Identification Number (TIN) fields must be completed. Most include Medicare prescription drug coverage (Part D). The License Number field allows the following special characters: ampersand, apostrophe, colon, comma, forward slash, hyphen, left and right parentheses, period, pound sign, quotation mark, and semi-colon. Contact Us About The Company Profile For Arcadian Health Plan, Inc. Unit 13- Lease Alienation. Location. group products, Member Resources The first line location address of the provider being identified. Corp - WI . Neither the pharmacy line of business nor the DME line of business represent legal entities; instead, both lines of business are part of an organization (the "parent") that is a legal entity. SOLD JUN 13, 2022. The postal ZIP or zone code in the mailing address of the provider being identified. Speak to a PSW Agent today to learn more about your eligibility and options for our Medicare Advantage plans. gcse.async = true; These companies must follow rules set by Medicare. card, View About Arcadian Health: Arcadian Health, founded in 1996, provides Medicare Advantage coverage through its affiliates in the following 15 states: . CA Jan 3, 2023 . For providers with more than one physical location, this is the primary location. Brokers, For The authorized official title (position) is SR. VP AND GENERAL COUNSEL. The first line mailing address of the provider being identified. 3.8 Work-Life Balance. (function() { quote, Find an These estimates, however, involve extensive judgment, and have considerable inherent variability that is extremely sensitive to payment patterns and medical cost trends. This data element may contain the same information as ''Provider first line location address''. Medical Policies. ANNUAL STATEMENT FOR THE YEAR 2020 OF THE Arcadian Health Plan Inc. EXHIBIT 4 - CLAIMS UNPAID AND INCENTIVE POOL, WITHHOLD AND BONUS (Reported and Unreported) Aging Analysis of Unpaid Claims 1 Account 2 1 - 30 Days 3 31 - 60 Days 4 61 - 90 Days 5 91 - 120 Days 6 Over 120 Days 7 Total Claims Unpaid (Reported) 0199999. Medicare Advantage organizations interested in operating a D-SNP plan in Indiana should contact Andrew Bean at Andrew.Bean@fssa.IN.gov. Clear. In 2013, the executives, including former CEO Todd Farha, were found guilty of the charges, including healthcare fraud and making false statements to law enforcement. You can call us if you have a question about your insurance plan or a health problem. PSW contracts with local doctors and Medicare Advantage health plans to offer you a choice in finding a health plan that best meets your healthcare needs. 3 Beds. Changes in economic conditions could adversely affect Humanas business and results of operations. The company's principal . Contact the plan provider for additional information. guidance, Humana member ARCADIAN HEALTH PLAN, INC. NPI is 1598910549. Gateway Health Plan has several different Payer ID numbers please look for the Payer ID on the ID card before submitting. D-SNP-eligible individuals have the option to enroll in a D-SNP health plan during their Medicare annual election period or quarterly during the special enrollment period. The legal entity must obtain an NPI. Any new coverage you get during this time will start on January 1, 2021. AR812. ARCADIAN HEALTH PLAN, INC. 075 093 123 126 136 H5628 MOLINA HEALTHCARE OF UTAH, INC. UT H5649 CENTRAL HEALTH PLAN OF CALIFORNIA, INC. H5703 H5742 SHA, L.L.C H5774 TRIPLE S ADVANTAGE, INC. . Medicare Advantage Plans must offer emergency coverage outside of the plans service area (but not outside the U.S.). bs [Content_Types].xml ( UKO0|]5naVi _L;qZRR%Qb{$4WbTEE%EV6xPL''?XpJ4DBJp Call 360.943.4337 ext 9 or email [emailprotected]. Original Medicare covers hospice care even if youre in a Medicare Advantage Plan. If you join a Medicare MSA Plan, you can also join any separate (stand-alone) Medicare Part D prescription drug plan. Star ratings are assigned to Medicare Advantage plans by the Centers for Medicare and Medicaid Services (CMS). <> Star Ratings are calculated each year and may change from one year to the next. The Parent Organization LBN and TIN fields can only be completed if the answer to the subpart question is Yes. Star Ratings are calculated each year and may change from one year to the next. This news release includes forward-looking statements within the meaning of the Private Securities Litigation Reform Act of 1995. Not all D-SNP plans in Indiana serve the entire state. The telephone number associated with the location address of the provider being identified. Be sure to find PSW on our social media profiles. 9, or toll-free at 1-877-943-4337. input, Indiana Dually-Eligible Special Needs Plans: key plan resources, Indiana Dual Eligible Special Needs Plans 837P and 837I Encounters Data Submitter Information Companion Guide, Indiana Dual Eligible Special Needs Plans Prescription Drug Event (PDE) Data Submitter Information Companion Guide, For additional information about D-SNP plans, visit the CMS website for. New laws or regulations, or changes in existing laws or regulations or their manner of application could increase the companys cost of doing business and may adversely affect the companys business, profitability and cash flows. Branch Branch of ARCADIAN HEALTH PLAN, INC. (Washington (US)) Registered Address 500 W MAIN ST LOUISVILLE KY 40202 United States Agent Name C T CORPORATION SYSTEM Agent Address 330 N BRAND BLVD STE # 700 GLENDALE CA 91203 Directors / Officers C T CORPORATION SYSTEM, agent Inactive Directors / Officers BRUCE D BROUSSARD, chief executive officer ARCADIAN HEALTH PLAN INC. NPI 1598910549 - Health Health (3 days ago) WebZIP 94607 Phone: (510) 832-0311 Get Directions ARCADIAN HEALTH PLAN, INC. is a health maintenance organization in Oakland, CA. (3) A pharmacy fills prescriptions for patients whose physicians have prescribed medications for them and may also rent or sell durable medical equipment to patients whose physicians have ordered such equipment for them. The contact numbers associated with the mailing address are: The authorized official registered with the 1598910549 NPI Number is JAMES NOVELLO. Based in Olympia, WA for more than 25 years, PSW is locally owned and managed by physicians. If you are enrolled in a Medicare plan with Part D prescription drug coverage, you may be eligible for financial Extra Help to assist with the payment of your prescription drug premiums and drug purchases. The last name of the person authorized to submit the NPI application or to change NPS data for a health care provider. Humana expects no interruption in coverage; members can continue to see the same health care providers and receive the same benefits they currently have for the 2012 benefit year. <>>> (Catholic Medical Center) Unity Health Plan Ins. Our agents put your needs first. NOTE: ZIP code plus 4-digit extension, if available. We do not sell leads or share your personal information. 500 12th Street, Suite 350, Oakland, California 94607, US. The following resources are available to provide more information: In Indiana, nine Dual Eligible Special Needs Plans serve the Medicaid and Medicare dually-eligible population. OAKLAND, CA ARCADIAN HEALTH PLAN Pay & Benefits reviews Review this company. PSW represents a network of more than 1,000 providers and facilities and works with health plans and health care providers in delivering great patient care. This data element may contain the same information as ''Provider location address country code''. The provider's official mailing address is: 500 12TH ST STE 350 Iselin, New Jersey 08830. info) is a Landkreis (district) in the west of Bavaria, Germany with a population of 95,000. endobj 'https:' : 'http:') + Meet your Practice Management Consultant. The company's filing status is listed as Exists and its File Number is 377-482. Register for a MyHumana Medicaid updates; check other areas of interest on the drop-down list to receive notices for other types of 8 "Staff injuries from patient violence and/or assaults by patients against staff can result in serious injuries, and have so resulted." 9 Employees were punched in the head (and . Find information about the healthcare programs included under the Indiana Health Coverage Programs (IHCP) umbrella the primary programs serving most children and adults as well as those designed to serve special member populations. Rights and Responsibilities. If you need help, see our support page. Most Medicare Advantage Plans include Medicare prescription drug coverage (Part D). Copyright 2023 State of Indiana - All rights reserved. User ID: Password: Show password Jan 3, 2023 09:43pm. Contact Name *. OAKLAND, CA For a copy of Indianas current State Medicaid Agency Contract, click here: To access all executed D-SNP contracts for 2022, visit the, To register as a trading partner with the IHCP to exchange electronic transactions for D-SNP, submit the. Medicare Advantage Plans must cover all of the services that Original Medicare covers except hospice care. The country code in the mailing address of the provider being identified. For more information contact the plan. Kareo ID *. The plan deposits SAV-RX SelectHealth Silverscript TRICARE UnitedHealthcare WellCare How to Write Step 1 - At the top of the Global Prescription Drug Prior Authorization Request Form, you will need to provide the name, phone number, and fax number for the "Plan/Medical Group Name." Humanas business may be materially adversely impacted by CMSs adoption of the new coding set for diagnoses. This page contains Indiana Health Coverage Programs (IHCP) Companion Guides for Health Insurance Portability and Accountability Act (HIPAA) version 5010 electronic transactions. BOUGHT WITH REDFIN JUN 14, 2022. fi%  xl/_rels/workbook.xml.rels ( Mk0$nez:8`gk(%b_=65q"0{?mY$M! pharmacy, Shop for This address cannot include a Post Office box. Registered Agent: Corporation Service Company Which Will Do Business IN California As Csc - Lawyers Incorporating Serv. You can use this money to pay for your health care costs, but only Medicare-covered expenses count toward your deductible. It includes the 3 months before the month of your birthday, your birth month, and the 3 months after the month of your birthday. PSWs mission is to support the physician-patient relationship in the independent practice of medicine through fair contracting, responsible resource utilization and prudently adopted innovations in health care delivery. For a complete listing please contact 1-800-MEDICARE (TTY users should call 1-877-486-2048), Get the most out of your plan. However, since our data is provided by Medicare, it is possible that this may not be a complete listing of plans available in your service This data element may contain the same information as ''Provider location address City name''. For Claims Status please contact Susan Naanes @ 503-574-7441 or Debra . x[moF a %o$MK.h}W@[D Net of the divestitures, the acquisition will increase Humanas health plan membership by approximately 50,000 Medicare HMO members. NPI Number information was last time updated on 12/01/2010. The coal oven burns over 650+ degrees and can produce pies in five minutes. Email *. For most members, claims can be mailed or submitted electronically to us at the address or payer ID's below; however, the address and payer ID's may vary based on member-specific plans and networks. menu, Manage It is located in the south of Middle Franconia, 50 kilometres south of Nuremberg. an eye doctor, Learn File Number: 3615733. Use the links on this page to access IHCP provider news items, bulletins, and banner page publications. To resolve antitrust concerns, Humana and Arcadian have entered into a consent agreement with the United States Department of Justice that will require divestiture of overlapping Medicare Advantage health plan business in eight areas within Arizona, Arkansas, Louisiana, Oklahoma and Texas. When registering your email, check the category on the drop-down list to receive notices of & appeals, Helpful The first name of the authorized official, The title or position of the authorized official. The email notifications are used to send notices to subscribers on behalf of the IHCP. Physician group practices struggle with bundled payments: study. 500 12th St # 350. eye doctor, How to Free one-on-one consultations are available Monday-Friday, 8:00am-4:00pm. The State or Province name in the location address of the provider being identified. for group products, Learn This data element may contain the same information as ''Provider location address postal code''. To learn more about the health plan programs, contact the following customer service departments: Sign up for email and/or text notices of Medicaid and other FSSA news, reminders, and other important The "parent"-we don't know who the parent is in this example-must ensure that each subpart that submits its own claims to health plans has its own NPI. Your healthcare needs change. Bulletins, Banner Pages and Reference Modules. PSW licensed agents can answer your questions on Medicare, Medicare Advantage and the specific health plans we offer. Gunzenhausen is a nationally . endobj Providers, For Please do not include any confidential or personal information, such as protected health information, social security number, or tax ID. The provider is registered as an organization entity type. coverage, Refill a name (which is a provider name or healthcare organization name) ARCADIAN HEALTH PLAN, INC.. Verida, Inc. is the nonemergency medical transportation broker for Indiana Traditional Medicaid (fee-for-service) members who require assistance traveling to their covered healthcare services. information and language options. Not quite 65? 4 0 obj Pharmacy, Shop [k@+%#bP{U Zbl;0RZ%U$+Ylft(s?-FUg dnt`q. Employers, For Agents & Humana and Arcadian are working together to ensure a seamless transition of the Medicare business. In preparation for the Engage, please carry out the following: With reference to the Lease of Kenulf House, 34-38 Fletton Street, Peterborough PE1 3LR ("Kenulf House"), complete the chart below, stating whether or not it is possible to carry out each of the dealings and citing the relevant lease provision(s). Company Profile Page. Code describing the type of health care provider that is being assigned an NPI. a dentist, Get 183. . Health Plan/Payer ID Codes, also known as Receiver Codes, are the primary identifier used to route your EDI transaction to the appropriate entity. FSSA updates. Doctor, Health & Well-being Certain taxonomy selections will require you to enter your license number and the state where the license was issued. Fax: 510-817-1894. Changes in the prescription drug industry pricing benchmarks may adversely affect Humanas financial performance. for a MyHumana account today. The 10-position telephone number of the authorized official. Documentation Guidelines. Dual Eligible Special Needs Plans serve members who are eligible for both Medicaid and Medicare. Downgrades in Humanas debt ratings, should they occur, may adversely affect its business, results of operations, and financial condition. care, Managing Arcadian strives to manage claims in an efficient, timely and prudent manner. Our claims professionals have extensive claims handling experience for a variety of business lines. The 2022 Annual Enrollment Period (AEP) is from October 15 to December 7, 2021. Humana advises investors to read the following documents as filed by the company with the SEC for further discussion both of the risks it faces and its historical performance: Humana Inc., headquartered in Louisville, Kentucky, is a leading health care company that offers a wide range of insurance products and health and wellness services that incorporate an integrated approach to lifelong well-being. Preferred Medical Claim Premier Health - PPO - SC Prime Health Services Priority Health (Michigan) . STATEMENT AS OF SEPTEMBER 30, 2021 OF THE Arcadian Health Plan, Inc. ASSETS Current Statement Date 4 1 Assets 2 Nonadmitted Assets 3 Net Admitted Assets (Cols. If one of our plans is not the best fit, don't worry - we'll connect you with other options. For Providers Claims Support For Providers Medicare and Medicaid For Providers Patient Care Programs For Providers Provider Resources Rights and Responsibilities For Providers Training and Education Announcements and Newsletters Webinars and Trainings Main Menu For Brokers Join Our Broker Team Broker Portal Login Main Menu About Us Careers ARCADIAN HEALTH PLAN, INC. Company Number 602384193 Status Active Incorporation Date 6 April 2004 (almost 19 years ago) Company Type WA INSURANCE COMPANY Jurisdiction Washington (US) Registered Address UNITED STATES United States Agent Name CORPORATION SERVICE COMPANY Agent Address 300 DESCHUTES WAY SW #304, TUMWATER, WA, 985010000 Please enter your credentials. If the plan accepts the monthly fee then the plan agrees to be responsible for the Medicare co-payments, co-insurance or deductibles. Copyright 2007-2023 HIPAASPACE. We are not affiliated with any Medicare plan, plan carrier, healthcare provider, or insurance company. your health, Member The Health Insurance Portability and Accountability Act (HIPAA) of 1996 contains Portability, Medicaid Integrity Program/Fraud and Abuse, and Administrative Simplification. 94607-4087, US. Claims adjustment expenses, including $ 126,895,463 cost containment expenses 0 145,900,023 120,817,947 169,390,602 WV Medicaid (Mountain Health Trust & West Virginia Health Bridge), Home Delivery / Prescription Reimbursements, Publicly Available Application Programming Interfaces, Patient Access APIs (To Access Your Data Through a 3rd Party App). vision plans, Find dental plans, Find support, Shop for 2.5 Baths. 1,507 Sq. about Medicaid, How care & community support, Humana )JCR?;}`_YWk>7O_6z?U#nutWm=2? Filing Date: , https://www.bizapedia.com/us/arcadian-health-plan-inc.html, Health (6 days ago) WebArcadia enables healthcare payers to collaborate closely with their provider networks for mutual economic success under Medicare, Medicaid, and Commercial risk-based , Health (7 days ago) WebYou can call us if you have a question about your insurance plan or a health problem. Provider Relations Phone Number. If one of our plans is not the best fit, dont worry well connect you with other options. Claims: 61101 Encounters: 61102 Advanced claims editing All EDI submissions to Humana pass through Availity. Arcadians plans have approximately 62,600 Medicare Advantage members in 15 U.S. states: Alabama, Arkansas, Arizona, California, Georgia, Louisiana, Maine, Missouri, New Hampshire, New York, North Carolina, Oklahoma, South Carolina, Texas and Washington. for Plans, Shop

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